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Minnesota rates for HCPCS E0959

Manual wheelchair accessory, adapter for amputee, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $30.90 / $38.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $61.66 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $64.57 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $75.86
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $109.65
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $57.54 / $251.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $26.30 / $56.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $19.95 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $38.90 / $74.13